875 posters, 25 topics, 3,440 authors, 1,061 institutions
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SAGES 2026 Annual Meeting Emerging Technology Session
March 25-28, 2026 | Tampa, FL, USA
P226
Outpatient laparoscopic sleeve gastrectomy at a Canadian community hospital: an interim analysis of a prospective feasibility study
Poster Presenter
Authors
Affiliations
Part of Topic
Bariatric
Outpatient Laparoscopic Sleeve Gastrectomy at a Canadian Community Hospital: Interim Results of a Prospective Feasibility Study
J Kerr1, A Follet2, H Yaremko2, C Smith1
1 – Department of Surgery, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada
2 – Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada
Background
•Obesity prevalence continues to rise globally.
•Laparoscopic sleeve gastrectomy (LSG) is now the most common bariatric procedure.
•Interest in same-day discharge after LSG is increasing.
•Most evidence comes from retrospective studies in tertiary centers.
•Evidence from community hospitals remains limited.
Methods
•Prospective single-center feasibility study.
•Eligibility criteria:
- Aged 18-65, undergoing primary LSG, without major comorbidities, living locally with adequate home support.
•Primary outcome: successful discharge without ED visit or readmission within 24 hours.
•Secondary outcome: 30-day complications, ED visits, readmission, and mortality.
•Results compared with those of eligible patients who chose admission during the same period.
Results
•53 patients met study inclusion criteria.
- 19 selected day-case surgery, 34 chose admission
•16 of 19 (84%) were discharged successfully the same day.
- 1 admitted for intraoperative procedure change.
- 1 admitted for postoperative arrhythmia.
- 1 admitted for hemoglobin drop.
•Primary outcome:
- 0 ED visits within 24 hours.
- 0 readmissions within 24 hours.
- 100% protocol success rate.
•No severe complications or mortality in either group.
Discussion & Conclusion
•Day-case surgery for LSG is feasible and safe in appropriately selected patients.
•Careful eligibility screening and strict discharge criteria are key to ensuring safety and detecting complications early.
•These results support safe expansion of outpatient LSG programs, including in community settings.
Future Directions
•Continue patient accrual and longer-term outcome analysis.
•Multicenter studies, including community and tertiary care centers.
•Randomized, matched comparative studies versus inpatient care.
•Health economic analyses evaluating savings of outpatient LSG.